Holli Marie Fiscus-Connon

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1150 University Ave
Suite 7
Rochester, NY 14607-1647

Phone

(585) 442-8422

Fax

(585) 442-8494

NPI assigned

Jul 11, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Brightside Medical PCGroup PAC ID 4082089461, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brightside Medical, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1508325184

  NY

  Medicare reassignment Care Compare group NPD
• Live Life Now Health Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Yonkers, NY
  • NPI 1770111429
  NPD
• Live Life Now Health Group of NJ PC

  • Addiction Medicine (Family Medicine) Physician
  • Mount Laurel, NJ
  • NPI 1215566393
  NPD
• Conifer Park, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rochester, NY
  • NPI 1235185612
  NPD (past)
• Conifer Park, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Liverpool, NY
  • NPI 1366498768
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215734400000",
    "number": "1487818290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31094",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061501094",
            "telephone_number": "518-952-8140",
            "fax_number": "518-952-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 UNIVERSITY AVE",
            "address_2": "SUITE 7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071647",
            "telephone_number": "585-442-8422",
            "fax_number": "585-442-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCUS-CONNON",
        "first_name": "HOLLI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra A Fischer-Kierecki, CNM
• Catherine Anne Fischer
• Megan Fischer, FNP
• Tracey Fischer
• Robert Thomas Fischetto, O.D.
• Heather Fish, MS, OTR/L
• Steven Bruce Fishberger, M.D.
• Scott Stephen Fishel, PA-C
• Sean Fishel, PA-C
• Alexandra Fisher, PA-C

• Addiction (Substance Use Disorder) Counselor in Rochester, NY
• Providers in Rochester, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.